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Organization

CENTRAL STATE OF THE CAROLINAS, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DEBRA ANNE MELOY (EXECUTIVE DIRECTOR)
(336) 370-1691
Entity
Organization

Contact information

Practice address
229 CEDAR ST., EDEN, NC 27288
(336) 370-1691
(336) 370-4758
Mailing address
122 N. ELM ST. #810, GREENSBORO, NC 27401
(336) 370-1691
(336) 370-4758

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
MHL079046
NC

Other

Enumeration date
08/18/2009
Last updated
08/18/2009
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